A5024481886- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
- Acute Ischemic Stroke Management
- Family and Patient Care in Intensive Care Units
- Trauma Management and Diagnosis
- Cardiac, Anesthesia and Surgical Outcomes
- Palliative Care and End-of-Life Issues
- Airway Management and Intubation Techniques
- Disaster Response and Management
- Mechanical Circulatory Support Devices
- Patient Satisfaction in Healthcare
- Hemodynamic Monitoring and Therapy
- Social and Demographic Issues in Germany
- Traumatic Brain Injury and Neurovascular Disturbances
- Injury Epidemiology and Prevention
- Venous Thromboembolism Diagnosis and Management
- Clinical practice guidelines implementation
- Quality and Safety in Healthcare
- Research in Social Sciences
- Anesthesia and Pain Management
- Healthcare Decision-Making and Restraints
- Noise Effects and Management
Pirkanmaa Hospital District
2021-2025
Tampere University Hospital
2015-2024
Tampere University
2015-2024
NHS Tayside
2018
University of Antwerp
2016
University Hospital Schleswig-Holstein
2016
University of Lübeck
2016
Ambulance Care (Sweden)
2016
Health Service Executive
2016
Inclusione Andicap Ticino
2016
The aim of the EuReCa ONE study was to determine incidence, process, and outcome for out hospital cardiac arrest (OHCA) throughout Europe.This an international, prospective, multi-centre one-month study. Patients who suffered OHCA during October 2014 were attended and/or treated by Emergency Medical Service (EMS) eligible inclusion in Data extracted from national, regional or local registries.Data on 10,682 confirmed OHCAs 248 regions 27 countries, covering estimated population 174 million....
Abstract Background Helicopter Emergency Medical Services (HEMS) play an important role in prehospital care of the critically ill. Differences funding, crew composition, dispatch criteria and mission profile make comparison between systems challenging. Several incorporate databases for quality control, performance evaluation scientific purposes. FinnHEMS database was incorporated such purposes following national organization HEMS Finland 2012. The aims this study are to describe information...
Responsive and efficient emergency medical services (EMS) require accurate telephone triage. In Finland, such are provided by Emergency Response Centre Agency (ERC Agency). 2018, a new Finnish computer-assisted dispatch system was introduced: the Integrated Common Authorities (ERICA). After introduction of ERICA, appropriateness EMS has not been investigated yet. The study´s objective is to determine consistency between priority triage dispatcher (EMD) on-scene assessment EMS, whether varied...
Abstract Background Lower intubation first-pass success (FPS) rate is associated with physiological deterioration, and FPS widely used as a quality indicator of the airway management critically ill patient. However, data on FPS’s association survival limited. We aimed to investigate if 30-day mortality or complications in pre-hospital setting. Furthermore, we wanted describe Finnish helicopter emergency medical services. Methods This was retrospective observational study. Data...
Massive infusions of crystalloids into bleeding hypotensive patients can worsen the outcome. Military experience suggests avoiding using early damage control resuscitation with blood components in out hospital setting. Civilian emergency medical services have since followed this idea. We describe our red cell protocol helicopter (HEMS) and initial prehospital products from first 3 years after implementation. performed an observational study attended by HEMS unit between 2015 2018 to whom...
Abstract Background Mechanical thrombectomy is the treatment of choice for large vessel occlusion strokes done only in comprehensive stroke centres (CSC). We investigated whether transportation time candidates from another hospital district could be reduced by using an ambulance and a helicopter how this affected their recovery. Methods prospectively gathered points referred to Tampere University Hospital Southern Ostrobothnia. Primary secondary transports were included. In Hybrid transport,...
Rapid response teams (RRTs) attend severely ill general ward patients whose average 30-day mortality is near 30%. A major part of RRT are over 75 years old, but there no studies on the characteristics and outcome this geriatric population. We compared sub-population with <75 old. further investigated, whether accumulation risk factors (RFs) for among population predicts a tenuous sub-population. Prospective three-year observational cohort study adult in Tampere University Hospital, Finland....
Background We aimed to determine the incidence of and associated risk factors for cardiopulmonary resuscitation ( CPR )‐related injuries in non‐survivors out‐of‐hospital cardiac arrests OHCA s) an emergency medical service EMS ) system which all procedures are performed on scene patients not routinely transported hospital with ongoing . Material methods conducted this prospective observational study between 1 June 2013, 31 May 2014. Data were collected from datasheets forensic autopsy...
Background Persistent post‐sternotomy pain is a common problem, but the risk of developing it varies among patients. We sought to find out whether persistent could be predicted by measuring area acute sensory dysfunction around sternotomy wound. The secondary aim was determine factors for pain. Patients and methods Hundred patients who were scheduled undergo elective coronary artery bypass surgery recruited study. excluded if they had undergone previous cardiac or lacked co‐operation....
Trauma is the leading cause of death especially in children and young adults. Prehospital care following trauma emphasizes swift transport to a hospital initial care. Previous studies have shown conflicting results regarding effect time on survival major trauma. In our study we investigated prehospital time-intervals 30-day mortality patients that received critical care.We performed retrospective all encountered by helicopter emergency medical services Finland from 2012 2018. Patients...
Post-resuscitation care is described as the fourth link in a chain of survival resuscitation guidelines. However, data on prehospital post-resuscitation scarce. We aimed to examine association among systolic blood pressure (SBP), peripheral oxygen saturation (SpO2) and end-tidal carbon dioxide (EtCO2) after stabilisation outcome patients resuscitated from out-of-hospital cardiac arrest (OHCA). In this retrospective study, we evaluated last measured SBP, SpO2 EtCO2 before patient handover...
Abstract Background In Finland, the yearly number of mechanical thrombectomies for acute stroke is increasing and more patients are transported over 100 km to comprehensive centre (CSC) definitive care. This leaves rural townships without immediate emergency medical services (EMS) hours. this study we compare EMS’ estimated return times own station after handover a thrombectomy candidate between two transport methods: (1) using ground transportation with an ambulance CSC or (2) hydrid...
Background Dispatching Emergency Medical Services to treat patients with deteriorating health in nursing homes and primary care facilities is common Finland. We examined the cardiac arrest describe this phenomenon. had a special interest for whom cardiopulmonary resuscitation was considered futile. Methods conducted an observational study between 1 June 2013 31 May 2014 Pirkanmaa area. included cases which participated treatment of facilities. Results attended total 355 patients, 65 (18%)...
Abstract Background In acute ischemic stroke, conjugated eye deviation (CED) is an evident sign of cortical ischemia and large vessel occlusion (LVO). We aimed to determine if emergency dispatcher can recognise LVO stroke during call by asking the caller a binary question regarding whether patient’s head or gaze away from side hemiparesis not. Further, we investigated paramedics confirm this at scene. group positive CED answers dispatcher, what diagnoses these patients received department...
Pre-hospital anaesthesia is a core competency of helicopter emergency medical services (HEMS). Whether physician pre-hospital case volume affects outcomes unknown in this setting. We aimed to investigate whether was associated with differences mortality or management.We conducted registry-based cohort study patients undergoing drug-facilitated intubation by HEMS from January 1, 2013 August 31, 2019. The primary outcome 30-day mortality, analysed using multivariate logistic regression...
Abstract Background Revascularization of an occluded artery by either thrombolysis or mechanical thrombectomy is a time-critical intervention in ischaemic stroke. Each link the stroke chain survival should minimize delay to definitive treatment every possible way. In this study, we investigated effect routine dispatch first response unit (FRU) on prehospital on-scene time (OST) missions. Methods Medical FRU together with emergency medical service (EMS) ambulance was strategy Tampere...
Our aim was to evaluate the impact of futile resuscitation attempts outcome calculations attempted in out-of-hospital cardiac arrest (OHCA). Defined as partial resuscitations, we focused on a subgroup patients whom cardiopulmonary (CPR) initiated, but further efforts were soon abandoned due evidence futility.We conducted this study using Utstein template during 12-month period. We compared event characteristics between full and determined incidence, survival neurological outcome.Emergency...
Background M edical emergency team ( MET ) activation criteria serve as a predictor of serious adverse events on hospital wards and in the department ED ). We aimed to determine whether in‐hospital would be useful identifying patients at risk pre‐hospital care. Methods The data were collected retrospectively from 610 adult treated by physician‐staffed helicopter medical services. Pre‐hospital vital signs compared with scored accordingly receive simplified ‘ ’ score. primary outcome measure...
Background The value of shock‐index has been demonstrated in hospital triage, but few studies have evaluated its prehospital use. aim our study was to evaluate the association between critical care and short‐term mortality. Methods We analyzed data from national helicopter emergency medical services database Population Register Centre. calculated patients' first measured parameters. primary outcome measure 1‐ 30‐day Results A total 22 433 patients were included. 1‐day mortality 7.5% 16%....
Abstract Background Making ethically sound treatment limitations in prehospital care is a complex topic. Helicopter Emergency Medical Service (HEMS) physicians were surveyed on their experiences with of orders the setting, including situations where they are dispatched to healthcare facilities or nursing homes. Methods A nationwide multicentre study was conducted among all HEMS Finland 2017 using questionnaire closed five-point Likert-scale questions and open questions. The Ethics Committee...
Background Data are scarce on the withdrawal of life‐sustaining therapies and limitation care orders (LCOs) during physician‐staffed Helicopter Emergency Medical Service (HEMS) missions. We investigated LCOs quality information available when physicians made treatment decisions in pre‐hospital care. Methods A prospective, nationwide, multicentre study including all Finnish HEMS bases a 6‐month period. All missions where patient had pre‐existing and/or new LCO were included. Results There 335...
In modern emergency medical services (EMS), ambulances increasingly focus on examining and treating the patient at scene. This has led to increased levels of non-conveyance. Finland, for instance, approximately 40% EMS dispatches end up in As systems evolve, proportion non-conveyance could serve as a cost-effective measure assess quality dispatch criteria, if link performance urgency assessment would be established. The purpose this study was investigate whether is associated with test...